Units 13-15 (the other shit) - Sexual Assault, Dissociative Disorders, Eating Disorders, Paraphilias Flashcards
Define sexual assault
Any nonconsensual touching, penetration, of a person. Pressuring a individual into sexual activity, or forcing them to watch pornography. Use of drugs or ETOH. Or not respecting if they change their mind.
Coercion
Intimidating, pressuring, using drugs, making them feel like you owe them sex, not respecting no, or using weapons.
Cycle of abuse
-Tension phase
-Acute battering phase
-Honeymoon phase
Perpetrator characteristics
-Jealous easily
-Poor social skills
-Narcissistic characteristics
Risk factors
Women, who is…
-Pregnant
-Leaving the relationship
-Seeking independence
Children
-Under 3
-of Unwanted pregnancy
Elderly
-Dependent on abuser
-75+, white women
-Poor health
Signs of abuse
-Physical Bruises, swelling, burns.
-Neglect: dirty/seasonal incorrect clothes, poor hygiene
!! Most common type of abuse in children is neglect.
Types of abuse
Emotional/verbal, financial, physical, neglect, sexual
Tx of abuse
Assess coping factors, family relationships, social social, safety risk.
Implementation: case management, !!report abuse, self-care education, therapy, good milieu.
Give reassurance: ** you are not alone. It was not your fault.
SANE Nurse
Sexual Assault Nurse Examiners. Provide comfort for victims and collect evidence of SA. This includes a H to T, PMH, allergies, assessment, a detailed questioning, and collecting swabs of DNA, pictures of injury, etc.
Always one foot in court.
Types of dissociative disorders
-Illness Anxiety DIsorder
-SSDs - Somatic Symptom Disorder
-Conversion Disorder
-Factitious Disorder
Factitious Disorder and Factitious Disorder by Proxy
Faking a disorder for attention or convience.
Causing a person, typically their child, sick for attention of so that they can take care of them.
Illness Anxiety Disorder
Excessive concern with being sick. Misinterpret physical symptoms Ex. Stomach is a tumor. Person believes they are sick, with no actual physiological source. Person may seek care a lot or avoid care entirely.
Somatization
Physical manifestations of distress
SSDs - Somatic Symptom Disorder
D- Person believe injury to be worse then is. Anxiety around symptoms without physiological source. One or more symptoms. Suffering is real.
Conversion Disorder
When typically a highly distressing event causes a physiological impairment with no actual physiological cause. Ex. Blindness, loss of control of limb. Has “la belle indifference”, or person is not as alarmed as they should be.
Tx of Dissociative Disorders
1) Always do physical exam 2) avoid unnecessary procedure 3) provide consistent care 4) have realistic goals
Different eating Disorders
-Binge eating disorder
-Anoxeria nervosa
-Bulimia nervosa
Define Eating Disorders
Any abnormal eating pattern.
Anorexia nervosa
D- When a person restricts their diet through purging, dieting, exercising, diuretics. Low BMI (below 18.5). At risk of
E- Family hx. A r w/ substance abuse, depression/anxiety
A- At risk for electrolyte imbalance and cardiac issues. Assess for irregular pulse, hypotension, jaundice. Look at knuckles for marks from throwing up.
T- Slowly. Don’t feed them a bunch at once; they’ll get re-feeding syndrome. One-on-one observation during eating to make sure they’re not hiding food or making themselves puke. Doing desensitization to food. Deep breathing. Introduce them to larger portions at a time. Educate on disorder
H- There’s a chemical reason behind this. Come from where they are.
Bulimia nervosa
D- When person makes themselves vomit it up. They are typically average wt to slightly higher wt.
A - This one will have calloused knuckles, Russells. Risk for GERD? Throwing up damaging esophagus.
Binge eating
Person will eat large portions of food. Onset may be stressors.
